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234 N Schwartz Ave Farmington NM 87401 | |
| (505) 427-0401 | |
| (505) 787-2174 |
| Full Name | |
|---|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 234 N Schwartz Ave, Farmington, New Mexico |
| Authorized Official Name and Position | Cathy B Poe (CEO / OWNER) |
| Authorized Official Contact | 5054270401 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
234 N Schwartz Ave Farmington NM 87401-5547 Ph: (505) 427-0401 | 234 N Schwartz Ave Farmington NM 87401 Ph: (505) 427-0401 |
| NPI Number | 1558891184 |
|---|---|
| Provider Enumeration Date | 06/15/2017 |
| Last Update Date | 06/20/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558891184 | NPI | - | NPPES |
| 81905301 | Medicaid | NM |
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